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Socio-economic impact of mHealth An assessment report for the European Union

Feb 10, 2018

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Laurent Lequien
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  • 7/22/2019 Socio-economic impact of mHealth An assessment report for the European Union

    1/28

    Ribdi-`bihimdbdmpcbt il mN`cjtnCh css`ssm`ht r`pirt lir

    tn` @urip`ch Phdih

    www.pwb.dh

    Kuh` 7?32

    @x`butdv` summcry_a 2 | Ribdi-`bihimdb dmpcbt il mN`cjtn _a ,???

    y`crs il jdl`.

    Il tn` titcj 3>0 mdjjdih pctd`hts

    wni bch pit`htdcjjy g`h`t lrim

    mN`cjtn, 353 mdjjdih pctd`hts biuje

    dmpriv tn`dr jdl`styj` ti sim`

    `xt`ht tnriuan dmprivdha niw tn`ymchca` tn`dr m`edbcj bihedtdihs.

    Il tn`s` 353 mdjjdih pctd`hts,

  • 7/22/2019 Socio-economic impact of mHealth An assessment report for the European Union

    5/28Ribdi-`bihimdb dmpcbt il mN`cjtn 0

    Ribdi`bihimdb dmpcbt

    i mN`cjtn dh 7?31

    3??%

    ceiptdih

    (ujj

    pit`htdcj )

    3?%

    ceiptdih

    (d hi

    cbtdih

    tcf`h)

    Uitcj n`cjtnbcr` bist

    scv`e (gh @PW)

    44

  • 7/22/2019 Socio-economic impact of mHealth An assessment report for the European Union

    6/28

    Ribdi-`bihimdbdmpcbt il mN`cjtn

    stdjj ar`ct`r tnch `v`r. Rt`cedjy rdsdha

    n`cjtnbcr` bists cmdest c str`ssluj

    `bihimdb `hvdrihm`ht dh tn` @P cr`

    bihstrcdhdha tn` n`cjtnbcr` syst`ms il

    dts m`mg`r stct`s.

    3Ih ch cv`rca`, @P m`mg`r stct`s

    sp`he 4% il tn`dr AE_ ih n`cjtn. Un`s`

    n`cjtnbcr` xp`hs`s ncv` g``h rdsdha

    lcst`r tnch hctdihcj dhbim`s dh mist

    m`mg`r stct`s, mcfdha dt ncre`r lir tn`

    sibdcj bihtrdgutdihs ti biv`r tn`m.

    3Cbbiredha ti c r`pirt gy tn`

    @P @bihimdb _ijdby Bimmdtt``,

    n`cjtnbcr` bists biuje dhbr`cs` gy 5

    ti >% il tn` @P AE_ dh c l`w e`bce`s,

    wde`hdha tn` acp g`tw``h hctdihcj

    dhbim`s che n`cjtnbcr` sp`he.Ui ceer`ss tn` burr`ht acp, n`cjtnbcr`

    guea`ts cr` g`dha but cbriss mchy

    biuhtrd`s dhbjuedha A`rmchy, Dtcjy che

    Rpcdh. Un` iut-il-pibf`t bihtrdgutdih

    il p`ipj` ti n`cjtn `xp`hs`s ds ariwdha

    che bihsde`rcgj` bihb`rhs criuhe tn`

    sustcdhcgdjdty il uhdv`rscj n`cjtnbcr`

    syst`ms cr` m`radha.

    Un` ariwdha n`cjtnbcr` gure`h il bnrihdb

    pctd`hts che ca`dha pipujctdih

    Bnrihdb eds`cs`s subn cs Uyp` 7 Edcg`t`s

    M`jjdtus (U7EM), bnrihdb igstrubtdv`

    pujmihcry edsire`r (BI_E) chebcredivcsbujcr eds`cs`s (B\E) br`ct`

    c sdahdbcht gure`h ih @Ps cjr`cey

    strcdh`e n`cjtnbcr` syst`ms. 7Cbbiredha

    ti tn` Irachdsctdih lir @bihimdb Bi-

    ip`rctdih che E`v`jipm`ht (I@BE),

    tn`r` w`r` criuhe 2? mdjjdih p`ipj`

    jdvdha wdtn edcg`t`s (Uyp` 3 che Uyp`

    7) dh tn` @P dh 7?33 che 2cgiut 3?% il

    tn` titcj chhucj n`cjtnbcr` xp`hs`s

    dh tn` @P cr` sp`ht ih edcg`t`s (Uyp` 3

    che Uyp` 7). _iirjy mchca`e edcg`t`s

    che tn` bimpjdbctdihs dt dheub`s r`sujt

    dh sdahdbchtjy ndan nispdtcj cemdssdihs,

    dhbr`csdha tn` bist il bcr` che

    bihsumptdih il n`cjtnbcr` r`siurb`s.

    Un` pr`vcj`hb` il subn bnrihdb eds`cs`s

    ds ndan che dhbr`csdha. _r`v`htdih che

    g`tt`r mchca`m`ht il bnrihdb eds`cs`s

    sniuje tn`r`lir` g` c prdirdty lir tn` @P

    che dts m`mg`r stct`s.

    Bnrihdb eds`cs`s biuje j`ce ti 13>

    gdjjdih @PW dh jist wca`s dh 7?31.

    G`sde`s tn` sdahdbcht n`cjtnbcr`gure`h, bnrihdb eds`cs`s cjsi pis`

    c s`v`r` rdsf ti tn` qucjdty il jdl`

    che prieubtdvdty il pctd`hts. Ndan

    @P n`cjtnbcr` sp`he p`r bcpdtc (@PW)

    _ugjdb `xp`hedtur`, I_@ che hih-I_@

    (@PW p`r bcpdtc)

    Riurb`; Un` Qirje Gchf, _wB chcjysds

    7.3 Burr`ht n`cjtnbcr`bncjj`ha`s dh tn` @P

    Rustcdhdha n`cjtnbcr` syst`ms

    Wdsdha n`cjtnbcr` bists dh tn` @P h``e tig` jiw`r`e dh ire`r ti jdmdt tn` gure`h

    ih tn` pipujctdih che pcy`rs.

    Cjtniuan n`cjtn cevchb`m`hts mce`

    cbriss tn` @P cr` r``bt`e dh tn`

    dhbr`cs`e jdl` xp`btchby che ceiptdih

    il tn` jct`st t`bnhijiad`s, tn` bncjj`ha`

    tnct n`cjtn pis`s ti aiv`rhm`hts ds

    Riurb`; Un` Qirje Gchf, _wB chcjysds

    Bncpt`r 7

    3 Riurb`; @P @bihimdb _ijdby Bimmdtt`` stuey ih guea`tcry bncjj`ha`s pis`e gy ca`dha pipujctdihs (nttp;//`uripc.`u/`pb/wirfdhaYariups/ca`dhaY`h.ntm)

    7 Riurb`; I@BE N`cjtn ct c ajchb`; @urip` 7?37

    2 Riurb ;DEL,JR@,AIJEr`pirtihBI_E(nttp;//www.aijebipe.ira/upjices/us rs/j s/AIJEW`pirtYCprdj337?33.pel)

    7??3

    3,3>5

    7,13?

    7?33

    7.2x

    7??3

    4?4

    7,?>>

    3>4557

    >0 3>7

    7?33

  • 7/22/2019 Socio-economic impact of mHealth An assessment report for the European Union

    7/28Ribdi-`bihimdb dmpcbt il mN`cjtn 1

    @P pipujctdih wdtn bnrihdb bihedtdihs

    Riurb`; I@BE N`cjtn ct c ajchb`- 7?37, _wB chcjysds

    ECJT (Edscgdjdty Cekust`e Jdl` T`crs)

    jiss`s lrim tn`s` eds`cs`s mcf` crjy

    r`tdr`m`hts che ndan`r-tnch-hirmcj

    uhpcde cgs`ht``dsm bimmih lir bnrihdb

    pctd`hts. 5 Un` r`sujtcht jiss il wirf jdl`

    che wca`s ds sdahdbcht.

    Cbbiredha ti _wB `stdmct`s, gy 7?31,

    criuhe 1? mdjjdih bnrihdb pctd`hts

    biuje jis` up ti 13> gdjjdih @PW dh

    wca`s eu` ti criuhe

  • 7/22/2019 Socio-economic impact of mHealth An assessment report for the European Union

    8/28

    Ariwdha pr`vcj`hb` il uhn`cjtny jdl`styj`sPhn`cjtny jdl`styj s subn cs piir ed`tcry

    che pnysdbcj r`adm`s che smifdha

    j`ce ti edsire`rs subn cs ig`sdty che

    nyp`rt`hsdih. Un`s` edsire`rs dh turh

    cr` j`cedha bcus`s il bnrihdb eds`cs`s

    subn cs U7EM, BI_E che B\E.

    3?Criuhe 07% il tn` @P pipujctdih ds

    iv`rw`dant, 31% il wndbn ds ig`s`.

    Qdtn mir` tnch 2?? mdjjdih p`ipj` wni

    cr` smif`rs, ig`s` ir nyp`rt`hsdv ,

    tn`r` ds c sdahdbcht pirtdih il tn`pipujctdih tnct ds ct tn` rdsf il

    e`v`jipdha bnrihdb eds`cs`s. Ui jdmdt

    tn` lutur` n`cjtnbcr` gure`h, dt wdjj g`

    cs dmpirtcht ti pr`v`ht che mchca`

    tn` jdl`styj` edsire`rs cs tn` bnrihdb

    eds`cs`s.

    Un` snirtca` il n`cjtnbcr` pril`ssdihcj

    r`siurb`s che dts dmpcbt ih cbb`ss ti bcr`

    Mchy @P m`mg`r stct`s cr` bihb`rh`e

    cgiut burr`ht ir lutur` snirtca`s il

    eibtirs che hurs`s.

    33

    Rwdtz`rjche biujes`` 10% il tn`dr a`h`rcj prcbtdtdih`rs

    r`tdr` gy 7?70 wndj` A`rmchy mcy ncv`

    ti r`pjcb` mir` tnch 0?,??? eibtirs,

    dhbjuedha criuhe 72,??? A_s, gy ihjy

    7?7?. Unds jcbf il r`siurb`s br`ct`s c

    rdsf il r`eubtdih dh cbb`ss ti prdmcry

    bcr` che ch dh`lbd`ht utdjdsctdih il tn`

    jdmdt`e n`cjtnbcr` guea`ts.

    H``e ti `hnchb` `ll`btdv`h`ss che

    `lbd`hby il n`cjtnbcr` e`jdv`ry

    Ui jdmdt tn` n`cjtnbcr` gure`h il

    bnrihdb eds`cs`s che je`rjy bcr`,mchy n`cjtnbcr` syst`ms dh tn` @P cr`

    libusdha ih mpiw`rdha pctd`hts ti

    mchca` tn`dr bihedtdihs g`tt`r che mir`

    dhe`p`he`htjy. Un`y cr` mivdha bnrihdb

    bcr` iutsde` il nispdtcjs ti bimmuhdty

    bcr` s`ttdhas. Niw`v`r, tn` snirtca` il

    eibtirs che hurs`s ds cjsi bihtrdgutdha

    ti c ariwdha libus ih dhbr`csdha pctd`ht-

    b`htrdbdty, wndbn hbiurca`s pctd`hts

    ti pricbtdv`jy mchca` tn`dr n`cjtn che

    bijjcgirct` mir` wdtn tn` n`cjtnbcr`

    privde`r v`h wn`h iutsde` tn` nispdtcj.

    sijutdih pctnwcys lrim w`jjh`ss ti

    mihdtirdha gy pisdtdv`jy dhu`hbdha

    pctd`ht g`ncvdiur, mcfdha bcr` mir`

    pctd`ht-b`htrdb che dmprivdha bjdhdbcj

    iutbim`s. N`cjtnbcr` e`jdv`ry bch cjsi

    g` mce` mir` lbd`ht gy jiw`rdha

    tn` bist il tr`ctm`ht eu` ti tn` h``e

    lir l`w`r nispdtcjdsctdihs che tnriuan

    `hcgjdha burr`ht r`siurb`s ti tr`ct mchy

    mir` pctd`hts dh pcrcjj`j.

    Cs clir`scde, `hcgjdha r`mit` tr ctm`ht

    che mihdtirdha, mN`cjtn sijutdihs bchn`jp sndlt bcr` lir bnrihdb che ca`dha

    pctd`hts lrim nispdtcjs che bimmuhdty

    bcr` s`ttdhas ti tn`dr nim`s, tn`r`gy

    privdedha pctd`hts wdtn ar`ct`r cbb`ss

    ti n`cjtnbcr` r`siurb`s r`mit`jy.

    Lurtn`rmir`, r`mit` dht`rcbtdihs

    che r`mdhe`rs ti tcf` m`edbctdih

    bch dhbr`cs` ed`tcry che tr`ctm`ht

    bimpjdchb` j`v`js. Bimpjdbctdihs bch,

    tn`r`lir`, g` cvide`e che tr`ctm`ht

    bists r`eub`e. Un` r`eubtdih dh h``e

    lir nispdtcjdsctdih bch lr`` up pnysdbcjche numch n`cjtnbcr` r`siurb`s ti tr`ct

    ceedtdihcj pctd`hts.

    Dhbr`csdha tn` pctd`ht-b`htrdbdty il bcr`

    biuje miv` e`jdv`ry il bcr` iutsde`

    nispdtcjs che mcf` pctd`hts mir`

    r`spihsdgj` lir tn`dr n`cjtn, jdmdtdha

    tn` n`cjtnbcr` gure`h che lr``dha up

    n`cjtnbcr` r`siurb`s.

    Ui cttcdh tn`s` igk`btdv`s tia`tn`r,

    tn` n`cjtnbcr` syst`ms dh tn` @P

    wiuje h``e ti j`v`rca t`bnhijiad`s

    ir sijutdihs tnct n`jp pctd`hts ceipt

    g`ncvdiurs ti pr`v`ht eds`cs`s, iptdmds`

    tn` qucjdty il bcr`, jiw`r dts bists chef``p pctd`hts che eibtirs r`mit`jy

    bihh`bt`e ti cbn itn`r.

    7.7 Ceer`ssdha tn` bncjj`ha`stnriuan mN`cjtn sijutdihs

    mN`cjtn sijutdihs n`jp pr`v`ht eds`cs`s

    che primit` n`cjtn, wndj` jiw`rdha tn`

    bist il bcr` che lr``dha up r`siurb`s lir

    ceedtdihcj pctd`hts tnct mcy hit ncv`

    ce`quct` cbb`ss ti n`cjtnbcr`.

    Qdtn migdj` t`bnhijiad`s g`bimdha

    mir` wde`spr`ce, mN`cjtn sijutdihs

    bch dhbr`cs` tn` `ll`btdv`h`ss il

    n`cjtnbcr` e`jdv`ry cbriss cjj pctd`ht

    3? Riurb`; I@BE N`cjtn ct c ajchb`; @urip` 7?37

    33Riurb`;W`m`eypr`s`ht`etibur`eibtirsnirtca`(www.swdssdhli.bn),A`rmchM`edbcjCssibdctdih(GF)-HctdihcjCssibdctdihilRtctutiryN`cjtn Dhsurchb` _nysdbdchs (FG\) stuey (nttp;//www.tn`jibcj.e`/sibd`ty/7?3??4?2-740>1.ntmj#.PT-yjJ^EC4T)

  • 7/22/2019 Socio-economic impact of mHealth An assessment report for the European Union

    9/28Ribdi-`bihimdb dmpcbt il mN`cjtn 4

    Dh ceedtdih ti tnds, mN`cjtn sijutdihs

    bch mpiw`r bdtdz`hs wdtn dhlirmctdih

    che mitdvctdih ti dmpriv jdl`styj`s

    che r`eub` tn` tnr`ct il bnrihdb

    eds`cs`s. @ll`btdv`jy, eu` ti tn` vcrdius

    g`h`ts mN`cjtn privde`s, dt mcy g`

    ndanjy us`luj dh acjvchdsdha n`cjtnbcr`

    syst`ms ti cttcdh tn`dr igk`btdv`s che

    `mpiw`rdha pctd`hts bist-`ll`btdv`jy.

    Css`ssdha tn` sibdi-`bihimdb dmpcbt il

    mN`cjtn

    mN`cjtn bch br`ct` c sibdi-`bihimdb

    dmpcbt cbriss liur edm`hsdihs gy

    dmprivdha tn` `ll`btdv`h`ss che

    `lbd`hby il bcr`.

    Biv`rdha c wde`r pipujctdih, mN`cjtn

    bch n`jp p`ipj` r`b`dv` c ndan`r qucjdty

    il bcr` ct jiw r bists. Gy dmprivdha

    tn` e`jdv`ry il n`cjtnbcr` cbriss tn`

    liur edm`hsdihs jdst`e g`jiw, mN`cjtn

    sijutdihs bch r`eub` nispdtcjdsctdihs,

    `hcgj` n`cjtnd`r jdv`s che br`ct` c mir`

    prieubtdv` mpjiy ` gcs`, lcbdjdtctdha csdahdbcht sibdi-`bihimdb dmpcbt;

    Q`jjh`ss che pr`v`htdih;

    Ruppirtdha bdtdz`hs dh mcfdha jdv`s

    n`cjtnd`r gy dmprivdha jdl`styj`s che

    r`eubdha tn` dhbde`hb` il eds`cs`

    tnriuan eubctdih, cwcr`h`ss che

    g`ncvdircj bncha`s.

    Edcahisds; @xp`edtdha tn` edcahisds

    il bnrihdb eds`cs`s dh ire`r ti

    jdmdt tn`dr s`v`rdty che cssibdct`e

    tr`ctm`ht bists.

    Ur`ctm`ht che mihdtirdha;

    Cemdhdst`rdha bcr` r`mit`jy

    tnriuan migdj`-gcs`e

    bimmuhdbctdih t`bnhijiad`s tnct

    suppirt pctd`ht migdjdty che r`eub`

    tn` h``e ti vdsdt nispdtcjs.

    Rtriha`r n`cjtnbcr` syst`ms;

    @hnchbdha bjdhdbcj e`bdsdih-mcfdha

    che dmprivdha tn` utdjdsctdih il

    pnysdbcj che numch n`cjtnbcr`

    r`siurb`s gy privdedha tn` syst`m

    che stcll mir` dhlirmctdih che

    chcjysds.

    Dh tnds r`pirt, w` ncv` quchtd`e tn`

    n`cjtn g`h`ts tnct mN`cjtn sijutdihs

    bch privde` cbriss tn` liur edm`hsdihsedsbuss`e cgiv` gy usdha dhdtdcj

    iutputs lrim r`j`vcht stued`s che tn`dr

    vcjdectdih gy n`cjtnbcr` `xp`rts dh

    r`j`vcht a`iarcpnd`s. Qndj` w` ncv`

    r`l`r`hb`e tn`s` dhputs tnriuaniut

    tn` r`pirt, tn` m`tnieijiay che

    cssumptdihs lir quchtdlydha tn` dmpcbt

    ncv` g``h e`tcdj`e dh tn` cpp`hedb`s.

    7.7.3 @hnchbdha w`jjh`ss chepr`v`htdih

    Un` sdahdbchb` il n`cjtnd`r jdl`styj`s

    Un` jcbf il `eubctdih che dhlirmctdih

    ih tn` dmpirtchb` il w`jjh`ss che

    pr`v`htdih bch f``p 24.4 mdjjdih p`ipj`

    `xpis`e ti tn` rdsf il e`v`jipdha bnrihdbeds`cs`s eu` ti uhn`cjtny jdl`styj`s.

    37Cbbiredha ti `xp rt ipdhdih, ch

    dmpriv m`ht dh w`jjg`dha ll`bt`e

    tnriuan c n`cjtny ed`t che r`aujcr

    `x`rbds` bch r`eub` tn` rdsf il

    e`v`jipdha c bnrihdb eds`cs` gy 0?% ti

    12% e`p`hedha ih tn` typ` il eds`cs`.

    Qdtn 24.4 mdjjdih p`ipj` `xp`bt`e ti

    g` ct s`v`r` rdsf il e`v`jipdha U7EM,

    BI_E che B\E dh 7?31, `hnchb`e

    w`jjh`ss bch `hsur` eds`cs` lr ` jdv`s lir

    sim` il tn`s` pctd`hts.

    Migdj` n`cjtnncs tn` pit`htdcjti e`jdv`r jcra`rg`h`ts tncht`j`-n`cjtn cs dt dsmir` cbb`ssdgj`tnch t`j`-n`cjtn.

    Nirst M`rfj`,

    Wibn` Edcahistdbs

    37Riurb`;DEL,JR@,AIJEr`pirtihBI_E(nttp;//www.aijebipe.ira/upjices/us`rs/j`s/AIJEW`pirtYCprdj337?33.pel)

  • 7/22/2019 Socio-economic impact of mHealth An assessment report for the European Union

    10/28_wB3?

    _ipujctdih ct rdsf i e`v`jipdha bnrihdb bihedtdihs dh tn` @P (dh mh)Jd`styj` edsire`r pr`vcj`hb` dh @P (dh mh)

    Riurb`; KCMC Dht`rhcj M`edbdh`, Bibnrch` Uigcbbi Ceedbtdih Ariup, Uurh`r Qndt`, I@BE N`cjtn ct c Ajchb`- 7?37, Rdjv`rbncdh.ira, _wB chcjysds

    32 Riurb`; nttp;//he`p.hdn.aiv/m`edc/apYtiijfdt.pel

    25% >% 27%il ig`s` p`ipj` g`h`tlrim s`jl-edr`bt`e

    w`dant jiss priarcmche biuhs`jjdha

    il smif`rs qudtsmifdha subb`sslujjy

    dl bihstchtjy mitdvct`eche r`mdhe`e

    il nyp`rt`hsdv`pipujctdih bch g`h`t

    lrim r`aujcr trcbfdha iltn`dr gjiie pr`ssur`

  • 7/22/2019 Socio-economic impact of mHealth An assessment report for the European Union

    11/28Ribdi-`bihimdb dmpcbt il mN`cjtn 33

    Bnrihdb eds`cs` pr`vcj`hb` dh @P (dh mh)

    Riurb`; Hctdihcj Dhstdtut`s il N`cjtns Edcg`t`s _r`v`htdih _riarcmm`, Rdjv`rbncdh.ira, @ur`fcj`rt.ira, _wB chcjysds

    > Riurb`; nttp;//he`p.hdn.aiv/m`edc/apYtiijfdt.pel

    23% 12% 0?%il Uyp` 7 edcg`tdbs bchg`h`t lrim n`cjtny

    ed`t che x`rbds`

    il BI_E pctd`htsbch dmpriv` tn`dr

    bihedtdihs gy libusdhaih w`jjg`dha

    il B\E pctd`htsbch n`jp dmpriv`

    `ll`btdv`h`ss il bcr`tnriuan dmpriv`e

    w`jjg`dha

    Dmprivdha jdl`styj`s usdha mN`cjtn

    RC_I Ldt, ch cppjdbctdih ti bihtrij ig`sdty (_irtuacj)

    E`v`jip`r; RC_I, _irtuacj U`j`bim

    Unds migdj` cppjdbctdih n`jps us`rs ti mihdtir dh r`cj

    tdm` tn` bcjird`s `ct`h, gy e`tcdjdha tn` liie dhtcf`,

    che tn` bcjird`s gurh`e wn`h pnysdbcj cbtdvdty

    ds uhe`rtcf`h. RC_I Ldt mcy g` p`rsihcjdz`e ti

    f``p c ecdjy _`rsihcj N`cjtn W`bire (_NW) il ch

    dhedvdeucjs liie dhtcf` che ecdjy x`rbds`, che ti

    sncr` tnds wdtn bihtcbts che bimmuhdtd`s ih c

    sibdcj h`twirf ti hbiurca` iptdmdsctdih il ih`s

    w`jjh`ss r`adm` che mitdvctdha ih` ti stcy t gy

    `hbiurcadha c bijj`btdv` he`cviur.

    UrclbJdantLiieUrcbf`r,ctiijtnctn`jpsp`ipj``ct n`cjtny liie (\crdius @P m`mg`r stct`s)

    E`v`jip`r; Bchb`r Biuhbdj \dbtirdc, Ig`sdty _ijdby

    Bicjdtdih

    Jchauca` suppirt; A`rmch, @hajdsn, Lr`hbn, Eutbn

    Unds migdj` cppjdbctdih n`jps p`ipj` `ct mir`

    n`cjtny liie gy usdha trclb jdant bijiurs ti rct`

    tn` hutrdtdih e`tcdjs il c liie dt`m jdst`e ih dts

    pcbfcadha Un` us`r typ`s dh tn` biht`ht e`tcdjs

    subn cs titcj lct, scturct`e lct, suacr che siedum

    biht`ht p`r 3?? arcms, che tn` cpp bcjbujct`s c

    trclb jdant `vcjuctdih il uhn`cjtndh`ss il tn` liie

    dt`m ar``h lir jiw, cmg`r lir m`edum, che r`e

    lir ndan. Dt bch n`jp p`ipj` tcf` g`tt`r bihtrij il

    tn`dr liie che ed`tcry bnidb`s ti cvide mchy jdl`styj`eds`cs`s subn cs ig`sdty che nyp`rt`hsdih.

    Riurb`; @urip`ch Edr`btiry il N`cjtn Cpps 7?37-32

    (nttp;//www.pctd`ht-vd`w.bim/-gujj-edr`btird`s.ntmj),_ug M`e (nttp;//www.hbgd.hjm.hdn.aiv/pugm`e/77.0

    37.4

    72.1

    74.2

    30.7

    70.4

    7?31

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    12/28_wB37

    Gure`h il smifdha

    Uigcbbi ds tn` sdhaj` jcra`st cvidecgj` n`cjtn rdsf dh @P.

    Cgiut 45% il tn` smif`rs dh @P stcrt smifdha g`lir` tn`yturh 70.

    Criuhe 0?% il smif`rs ed pr`mctur`jy (ih ch cv`rca` 35y`crs `crjd`r).

    Dt cbbiuhts lir h`crjy 1??,??? pr`mctur` e`ctns cbriss @P.

    Ariwdha libus ih chtd-smifdha

    Un` @urip`ch Bimmdssdih ncs jcuhbn`e bcmpcdahs jdf`@x-smif`rs cr` Phstippcgj`, dh ire`r ti hbiurca` yiuhaceujts dh tn` ca` ariup il 70 y`crs ti 25 y`crs smifdha.

    dBicbn ds ch ihjdh` edadtcj n`cjtn bicbndha pjctlirmtnct n`jps dhedvdeucjs qudt smifdha. Dt privde`s tcdjir`el``egcbfs, s`hes us`rs ecdjy `-mcdj tdps cs r`mdhe`rs lirmitdvctdih.

    W`s`crbn`rs ncv` `stdmct`e tnct migdj` pnih` priarcmm`sbiuje h`crjy eiugj` tn` bnchb` il qudttdha lir ct j`cst sdxmihtns, lrim 5 ti 0% dh bihtrij ariups ti < ti 3?% dhdht`rv`htdih ariups.

    Dmpcbt il mN`cjtn ih smifdha

    Gy 7?31, mN`cjtn ncs tn` pit`htdcj ti scv` 7.< gdjjdih @PWgy n`jpdha p`ipj` qudt smifdha.

    Rubn cvidechb` il smifdha wdjj r`sujt dh 7 gdjjdih @PW tcxjiss lir tn` aiv`rhm`ht.

    W`eubdha tn` rdsf il bnrihdb eds`cs`s

    mN`cjtn biuje n`jp .> mdjjdih bch pit`htdcjjy us`

    mN`cjtn sijutdihs r`aujcrjy che 2.4

    mdjjdih smif`rs biuje qudt smifdha

    subb`sslujjy.

    Un` r`sujtdha dmpriv`m`ht dh jdl`styj`s

    che pr`v`htdv` m`csur`s `hcgj`e gy

    mN`cjtn bch sdahdbchtjy jiw`r tn`

    rdsf il bnrihdb eds`cs`s gy tn`

    lijjiwdha wcys;

    Gy 7?31, iut il tn` 24.4 mdjjdih

    p`ipj` ct rdsf il e`v`jipdha bnrihdb

    eds`cs`s dh tn` @P, 75.3 mdjjdih

    biuje us` mN`cjtn sijutdihsr`aujcrjy ti mchca` tn`dr jdl`styj`s

    che tcf` m`csur`s subn cs

    mihdtirdha tn`dr gjiie pr`ssur` che

    ed`t ti mcdhtcdh w`jjg`dha.

    Un` r`aujcr us` il tn`s` sijutdihs

    bch n`jp 33.21 mdjjdih pctd`hts il

    tn` 75.3 mdjjdih ti dmpriv` tn`dr

    r`sp`btdv` jdl`styj` edsire`rs hiuan

    ti r`eub` tn` rdsf il eds`cs`.

    Cbbiuhtdha lir tn` r`eub`e

    prigcgdjdty il e`v`jipdha bnrihdb

    eds`cs`s cmihast tn`s` 33.21mdjjdih pctd`hts, .3

    mdjjdih p`ipj` ct rdsf il e`v`jipdha

    U7EM biuje g`tt`r mchca` tn`dr

    ig`sdty ir nyp`rt`hsdih gy usdha

    mN`cjtn sijutdihs r`aujcrjy. Iltn`s` 35 mdjjdih pctd`hts, cgiut 0

    mN`cjtn biuje r`eub` rdsf i bnrihdb

    bihedtdihs ir

    >.5

    3.2 3.1

    35.?

    3.>

    >.2

    U7EM BI_E B\E

    mN`cjtn biuje `hcgj`

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    Dmpcbt lir edcg`t`s

    Gy 7?31, mN`cjtn bch scv 0 mh p ipjlrim g`dha ct rdsf il e v`jipdha edcg t`s.

    Cgiut 3 mdjjdih p`ipj` lrim

    cmiha tn` 2.1 mdjjdih ct rdsf il

    e`v`jipdha BI_E mcy dmpriv`

    tn`dr jdl`styj` bihedtdihs `hiuan

    tnriuan r`aujcr us` il mN`cjtn

    sijutdihs tnct suppirt smifdha

    b`ssctdih che dmpriv e w`jjg`dha.

    Il tn`s` 3.> mdjjdih, 3 mdjjdih

    bch subb`sslujjy r`eub` tn` rdsf il

    BI_E.

    Rdmdjcrjy, il tn` 31.< mdjjdih

    p`ipj` ct rdsf il e`v`jipdha B\Es,

    cgiut >.2 mdjjdih p`ipj` biuje

    subb`sslujjy us` mN`cjtn ti mcf`

    jdl`styj` che ed`tcry dmpriv`m`hts.

    Il tn`s`, cgiut >22,??? biuje

    subb`sslujjy r`eub` tn` rdsf il

    e`v`jipdha B\E.

    Jdmdtdha gure`hi bnrihdb

    eds`cs`s

    Wdsfr`eubtdih

    Dhbde`hb`spr`v`ht`e tdjj

    7?31

    U7EM 0.? mh 3,??? y`crs jiha`r.

    Gy r`eubdha tn` s`v`rdty che dhbde`hb`

    il bnrihdb eds`cs`s, mN`cjtn sijutdihs

    biuje scv` c titcj il

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    40%

    U7EM

    3%

    BI_E

    5%

    B\E

    4>.4%

    U7EM

    ?.7%

    BI_E

    ?.4%

    B\E

    Un` Hctdihcj Edcg`t`s Dhpctd`ht Cuedt t`jjs us tnctct chy ih` tdm` criuhe 30% il nispdtcj g`es cr`tcf`h up gy p`ipj` wdtn Edcg`t`s. Il tn`s`, ihjy 4%il pctd`hts ncv` c prdmcry edcahisds il edcg`t`s,tn` r`st cr` tn`r` lir itn`r bimpjdbctdihs. Un`r` dsc r`cj h``e lir nispdtcjs ti bcptur` pctd`hts `crjyche uhe`rstche tn` bihedtdih g`bcus` tr`ctdha cbimpjdbctdih bihedtdih ds mir` bistjy p`r ecy.

    Kinh Arumdtt\db` _r`sde`ht, Edcg`t`s PF

    Cgiut >?% il jdmg cmputctdihs eu` tiedcg`t`s cr` bimpj`t`jy cvidecgj` dl prip`redcahisds ds eih` p`rdiedbcjjy. Dl c jdmg dsjist tnch tn` bnchb` il jdl` lir 0 mir` y`crsds 2?% che tn` bnchb` il jdvdha lir 2 y`crs ds0?%. Un` sibdcj che `bihimdb bist ds sdmpjy`hirmius che jcra`jy cvidecgj`.

    Kinh Arumdtt, \db` _r`sde`ht, Edcg`t`s PF

    7.7.7 @xp`edtdha edcahisds

    Un` dmpirtchb` il `crjy edcahisds

    E`jcy dh edcahisds il bnrihdb eds`cs`s

    dhbr`cs`s bimpjdbctdihs che tr`ctm`ht

    bists

    Riurb`; _wB chcjysds

    Riurb`; nttp;//www.gusdh`sswdr`.bim/h`ws/

    nim`/7?33377???0>42/`h/Cpp-Rtir`-Hcm`s-CdrRtrdp-BCW-EDIJIAT-d_nih`-M`edbc

    Un` jct`ht hctur` il bnrihdb eds`cs`s

    j`ces ti e`jcys dh edcahisds. 35Ih

    cv`rca , 5?% il U7EM pctd`hts cr`

    hit cwcr` il tn`dr bihedtdih uhtdj

    s`v`h ti `dant y`crs clt`r tn` eds`cs`

    ncs e`v`jip`e. Criuhe 0?% il p`ipj`

    cr` usucjjy hit cwcr` il tn` bcus`s il

    eds`cs` che tn`dr symptims. Dh ceedtdih

    eu` ti tn` jcbf il cbb`ss ti edcahistdb

    lcbdjdtd`s, tn`s` lcbtirs bihtrdgut` ti

    pctd`hts hit uhe`raidha pr`v`htdv

    n`cjtn bn`bf-ups che tn`r`gy e`jcydha

    tn` edcahisds il eds`cs`.

    @hcgjdha r`mit` edcahisds

    CdrRtrdpBCWEDIJIAT,r`mit`edcahisdschetr`ctm`ht e`bdsdih mcfdha tiij lir n`crt pctd`hts

    Unds smcrtpnih` cppjdbctdih hcgj`s pnysdbdchs

    ti vd`w `j`btribcrediarcms ih tn`dr migdj`

    e`vdb`s. Dt cjjiws bjdhdbdchs chytdm` che chywn`r`

    cbb`ss ti jdv` che ndstirdbcj @BA ectc il pctd`hts

    ih tn`dr d_ce che d_nih`, cjiha wdtn `hnchb`e

    chcjytdbs. Dt n`jps bjdhdbdchs ti mcf` lcst`r, mir`

    dhlirm`e edcahisds che tr`ctm`ht e`bdsdihs.

    Qn`h tr`ctdha bcredcb pctd`hts, tn`s` xtrc

    mdhut`s bch n`jp pctd`hts r`biv`r qudbfjy gy

    `xp`edtdha m`edbcj dht`rv`htdih che pr`v`ht n`crt

    ecmca`.

    4.5 mh p`ipj` ct r dsf i bnrihdb eds`cs` bch

    us` mN`cjtn-`hcgj`e edcahisds r`aujcrjy

    >30,??? p`ipj` bch edcahis` bnrihdb

    eds`cs`s crjy

    Eu` ti tn`s` r`csihs, mist bnrihdb

    eds`cs`s a`t edcahis`e wn`h

    bimpjdbctdihs cpp`cr. N`hb`, tn`

    s`v`rdty il tn` bnrihdb eds`cs` dhbr`cs`s,

    r`sujtdha dh dhbr`cs`e nispdtcjdsctdih

    che ndan`r tr`ctm`ht bists.

    35 Riurb`; DEL Ctjcs, 7?37,_wB chcjysds

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    2.1 gh @PW bists scv`e eu` ti dmpriv`e

    iutbim`s

    Hit`; CJIR; Cv`rca` J`hatn il Rtcy

    Riurb`;Wis`mihtpncrmc,@rdbssihmigdj`n`cjtnstuey,_wBchcjysds

    H``e ir mihdtirdha cmihast bnrihdb

    pctd`hts (dh mh)

    Riurb`;Wis`mihtpncrmc,@rdbssihmigdj`n`cjtnstuey,_wBchcjysds

    44.5%

    U7EM

    ?%

    BI_E

    ?.5 mdjjdih pctd`hts biuje

    g`h`t lrim mN`cjtn tnriuan tn`

    `xp`edt`e edcahisds il bnrihdb eds`cs`s

    che tdm`jy m`edbcj dht`rv`htdihs,

    scvdha 2.1 gdjjdih @PW dh tr`ctm`ht

    bists.

    mN`cjtn sijutdihs tnct `hcgj` r`mit`

    edcahisds che s`jl-css`ssm`ht il

    symptims hcgj` n`cjtnbcr` privde`rs

    ti e`t`bt eds`cs`s crjd`r che lcbdjdtct`

    tdm`jy m`edbcj dht`rv`htdihs. Un`s`

    sijutdihs eubct` pctd`hts ih symptims

    il eds`cs`, n`jpdha tn`m uhe`rstche

    dl che wn`h tn`y h``e ti uhe`rai

    edcahistdb t`sts. Rim` mN`cjtn

    sijutdihs cjsi cjjiw pctd`hts ti stir`

    tn` r`sujts il edcahistdb t`sts ih tn`dr

    migdj` e`vdb`s che sncr` tn`s` wdtn

    tn` n`cjtnbcr` privde`r, jdmdhctdha

    tn` h``e il nispdtcj vdsdts. Gy eidha si,

    mN`cjtn sijutdihs r`eub` tn` gure`h

    ih, gitn, edcahistdb lcbdjdtd`s che bcr`

    lcbdjdtd`s. N`hb`, cbb`ss ti bcr` dhbr`cs`s

    che edcahisds g`bim`s mir` cllirecgj`.

    Dhbr`csdha `ll`btdv`h`ss che `lbd`hby

    il bcr`

    Unriuan eubctdihcj che cjairdtnmdb

    sijutdihs tnct cjjiw pctd`hts ti s`jl-

    css`ss symptims, mN`cjtn bch n`jp

    4.5 mdjjdih r`aujcr us`rs ct rdsf

    il e`v`jipdha bnrihdb eds`cs`s ti

    `xp`edt` edcahisds. Cbbiuhtdha lir tn`

    pr`vcj`hb` il vcrdius bnrihdb eds`cs`s

    dh tn` @P, _wB `stdmct`s tnct >30,???

    pctd`hts bch subb`sslujjy e`t`bt bnrihdb

    eds`cs`s `crjy. Un`s` pctd`hts biuje

    cvide bimpjdbctdihs che s``f m`edbcj

    ctt`htdih crjd`r, r`eubdha tn` h``e lir

    nispdtcjdzctdih che scvdha 2.1 gdjjdih

    @PW dh tr`ctm`ht bists. Eibtirs che

    pcrcm`edb stcll biuje scv` 517,???

    eibtir ecys gy ncvdha ti tr`ct l`w`r

    bimpjdbctdihs.

    7.7.2 E`jdv`rdha bihtdhuiusbcr` r`mit`jy

    Mihdtirdha pctd`hts tnct r`qudr`

    bihtdhuius bcr`

    Bihtdhuius bcr` che tn` jcbf il

    tr`ctm`ht cen`r`hb` dh bnrihdb

    bihedtdihs rcds`s bcr` bists che br`ct`s

    c h``e lir mihdtirdha.

    Bnrihdb eds`cs`s che `je`rjy bcr` r`qudr`

    bihstcht, r`cj-tdm` mchca`m`ht. Un`

    pctd`hts h``e ti g` edsbdpjdh`e wdtn

    tn`dr tr`ctm`ht che ed`t sbn`euj`s. Un`

    ndan j`v`js il cen`r`hb` r`qudr`e lrim

    pctd`hts bch g` tdrdha che pctd`hts ilt`h

    mdss tn`dr m`edbctdih, r`sujtdha dh hih-bimpjdchb` ti tr`ctm`ht. Ceedtdihcjjy,

    pctd`hts ilt`h mdstcf` t`mpircry

    r`jd`l lir sdahdbcht dmpriv m`ht

    che edsbihtdhu` tr`ctm`ht ir jiw`r

    m`edbctdih j`v`js. Un` sug-iptdmcj

    bjdhdbcj iutbim`s r`sujtdha lrim tn`s`

    r`csihs j`ce ti nispdtcj r`-cemdssdihs.

    Ui jdmdt tnds hih-bimpjdchb` che cvide

    nispdtcj r`-cemdssdihs, pctd`hts h``e ti

    g` bihtdhuiusjy mihdtir`e dh nispdtcj

    lir jiha`r p`rdies, wndbn dhbr`cs`s

    tr`ctm`ht bists che lurtn`r gure`hsn`cjtnbcr` syst`ms.

    _wB `stdmct`s tnct 50 mdjjdih bnrihdb

    pctd`hts che 51 mdjjdih ca`dha p`ipj`

    dh tn` @P biuje h``e mihdtirdha gy

    7?31.

    Ui sustcdh tn`s` mihdtirdha h``es

    wdtn jdmdt`e nispdtcj g`es, n cjtnbcr`

    syst`ms cr` xpjirdha wcys ti tr`ct

    pctd`hts ct tn`dr nim`s.

    Dhe. ca`dha

    Hih-bimpjdchb` rct` 0?%CJIR p`r y`cr 72

    517,???

    eibtir ecys

    bch g`

    scv`e

    U7EM

    5

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    Dmpriv e cen`r`hb` che bihtdhuius

    r`mit` tr`ctm`ht il bnrihdb bihedtdihs

    usdha mN`cjtn bch n`jp cvide s`v`r`

    bimpjdbctdihs che dmpriv` bjdhdbcj

    iutbim`s. Cs c r`sujt, 33 mdjjdih bnrihdb

    pctd`hts bch cvide 373,??? ecys il

    nispdtcjdsctdih che 5?

    eibtirs

    Gy n`jpdha cttcdh dmpriv`e bjdhdbcj

    iutbim`s che r`eub` tn` h``e il

    nispdtcjdsctdih, mN`cjtn hcgj`e

    r`mit` mihdtirdha biuje scv` 27 gdjjdih

    @PW dh n`cjtnbcr` bists cbriss tn`

    @P. N`cjtnbcr` privde`rs bch mihdtir

    mujtdpj` pctd`hts ct ihb` che prdirdtds`

    pctd`hts ti ctt`he ti, wndbn r`eub`s

    wcdtdha tdm`s. Cbbiredha ti _wB

    `stdmct`s, criuhe ?.5< mdjjdih wirfdha

    ecys scv`e lir eibtirs bch g` scv`e cs c

    r`sujt, wndbn ds tn` `qudvcj`ht ti 3,>5?

    eibtirs g`dha cee`e ti tn` syst`m.

    7.7.5 Rtr`hatn`hdhan`cjtnbcr` e`jdv`ry syst`ms

    Dh`lbd`ht utdjdsctdih il DU che `j`btrihdb

    n`cjtn r`bires

    N`cjtnbcr` syst`ms cbriss tn` @P

    ncv` vcrd`e bcpcgdjdtd`s ti j`v`rca`

    dhlirmctdih che bimmuhdbctdih

    t`bnhijiad`s ti suppirt tn`dr

    prcbtdtdih`rs. Dt ds `stdmct`e tnct

    prcbtdtdih`rs sp`he 70% ti 2?% il tn`dr

    tdm` actn`rdha che chcjysdha m`edbcj

    che pctd`ht bcr` ectc. Un` cgs`hb`ir dh`lbd`ht us` il `j`btrihdb n`cjtn

    r`bires bch jdmdt tn` `lbd`hby il c

    nispdtcj. Jcbf il migdjdty suppirt lir

    eibtirs bch f``p tn`m lrim cbb`ssdha

    dhlirmctdih ih tn` miv` wndbn jdmdts

    tn` `lbd`ht utdjdzctdih il tn`dr tdm`.

    Lurtn`r, mist eibtirs ncv` ti dhv`st

    p`rsihcj `llirt ti s``f dhlirmctdih

    ih tn` jct`st pritibijs, g`st prcbtdb`s

    che dht`rhctdihcj upect`s. Un` jcbf il

    r`cedjy cvcdjcgj` r`j`vcht dhlirmctdih

    bch r`sujt dh uhdhlirm`e bjdhdbcje`bdsdihs. Rubn e`bdsdihs bch j`ce ti

    pr`sbrdptdih che eisca` rrirs, br`ctdha

    cev`rs` erua `v`hts (CE@s) tnct bist @P

    n`cjtnbcr` syst`ms 7.1 gdjjdih @PW p`r

    y`cr dh bcr` bists che cbbiuht lir 3.3%

    il cjj nispdtcjdsctdihs dh tn` @P.

    Ceer`ssdha tn` snirtca` il eibtirs tnriuan

    dmpriv`e prcbtdtdih`r suppirt

    mN`cjtn biuje br`ct` 24 mdjjdih

    wirfdha ecys lir eibtirs gy dmprivdha

    prcbtdtdih`r suppirt, r`eubdha tn`

    snirtlcjj il eibtirs gy 30

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    7.1 gh

    3

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    19/28Ribdi-`bihimdb dmpcbt il mN`cjtn 34

    Un` r`eubtdih dh p`r bcpdtc scvdhas

    biuje cjsi g` c sdahdbcht dmpriv`m`ht

    dh ch `hvdrihm`ht wn`r` aiv`rhm`hts

    cr` csfdha p`ipj` ti suppirt n`cjtn

    `xp`hs`s ti c ar`ct`r xt`ht tnch g`lir`.

    N`hb`, tn` n`cjtnbcr` syst`ms bch

    cbnd`v` tn` ippisdha aicjs il `hsurdha

    cbb`ss ti bcr` che jdmdtdha n`cjtnbcr`

    bists gy usdha mN`cjtn.

    44 gh @PW n`cjtnbcr` bists scv`e

    Riurb`; NI_@-@urip`ch nispdtcj che n`cjtnbcr` l`e`rctdih,_wB chcjysds

    Ui `hsur` tnct bcpdtcj bists dhburr`e dh

    mN`cjtn e`pjiym`hts dh tn` h`cr-t`rm

    cr` biv`r`e tnriuan lutur` n`cjtnbcr`

    scvdhas, dt ds dmpirtcht ti cppr`bdct`

    tnct 70

    mdjjdih pctd`hts g`h`ttdha lrim

    mN`cjtn biuje br`ct` c pisdtdv``bihimdb dmpcbt ih sibd`ty.

    C titcj il ,??? dhstchb`s il pr`mctur`

    r`tdr`m`ht che bijj`btdv`jy xt`he

    tn`dr pril`ssdihcj jdv`s gy 5.2 gdjjdih

    wirf niurs.

    Cs c r`sujt, tn` edspiscgj wca`s

    il tn`s` 3>.3 mdjjdih pctd`hts bch

    dhbr`cs` gy

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    20/28_wB7?

    Iv`rbimdha gcrrd`rsti ceiptdih

    Jcbf il ceiptdih bch s`v`r`jy jdmdt tn`

    r`cjdsctdih il mN`cjtns pit`htdcj

    Un` dhdtdcj `stdmct`s il tn` sibdi-`bihimdb dmpcbt il mN`cjtn cse`sbrdg`e dh tnds r`pirt pr`s`ht cbimp`jjdha bcs` ti cbb`j`rct` tn`ceiptdih il mN`cjtn. Niw`v`r, ctpr`s`ht tn`r` cr` mujtdpj` gcrrd`rs tnctpr`v`ht mN`cjtn sijutdihs lrim g`dhaceipt`e che cbnd`vdha sbcj`. Cbbiredhati `xp`rt ipdhdih34, ihjy 3?% il tn`

    pit`htdcj us`rs dh 7?31 biuje ceiptmN`cjtn eu` ti tn`s` gcrrd`rs, che, cs cr`sujt, ihjy 0% il tn` pit`htdcj g`h`tsmdant a`t r`cjds`e.

    Un`r` cr` liur s`ts il cbtdv` gcrrd`rs tnctjdmdt tn` ceiptdih il mN`cjtn. Un`s`gcrrd`rs cr`;

    W`aujctiry;Ch cgs`hb` ilce`quct` r`aujctiry m`bnchdsmstnct hcgj` dhhivctdv` n`cjtns`rvdb`s ti g` e`pjiy`e wndjst`hsurdha pctd`ht scl`ty che trust dse`jcydha s`rvdb`s r`cbndha pctd`htsche n`cjtnbcr` pril`ssdihcjs.

    - Jcbf il bjcrdty ih mN`cjtnb`rtdbctdih; Bjcrdty h``es tig` privde`e ih niw m`edbcje`vdb` r`aujctdihs cppjy timN`cjtn, privdedha c bj`crpctnwcy lir b`rtdbctdih.

    - Jcbf il dht`rip`rcgdjdtystchecres; Un` cgs`hb` ilr`aujctdihs ir stchecres tnctmchect` dht`rip`rcgdjdtycmihast mN`cjtn sijutdihs

    che e`vdb`s jdmdt tn` sbip` ildhhivctdih che bihimd`s ilsbcj` ti g` cbnd`v`e cs w`jj csh`actdv`jy dmpcbtdha cs` ilus`.

    W`aujcr mN`cjtn us`rs sugk`bt`e ti g`h`lt gy 7?31 (dh mh)

    Riurb`; _wB chcjysds

    _it`htdcj -

    3??% ceiptdih_it`htdcj -

    3??% ceiptdih

    Hi cbtdih -

    3?% ceiptdihHi cbtdih -

    3?% ceiptdih

    Bncpt`r 2

    ;

    ;

    34 _rdmcry dht`rvd`w wdtn IhMigdj`

    Uitcj n`cjtnbcr` bist scvdhas dh 7?31 (dh @PW) Uitcj AE_ ceedtdih dh 7?31 (dh @PW)

    44 gh 42 gh

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    - Jcbf il bjcrdty ih ectcprit`btdih j`adsjctdih; N`cjtnectc dh tn` @P ds c s`hsdtdv`dssu` che r`qudr`s c ndan j`v`j

    il prit`btdih. Cs c r`sujt, tn`j`adsjctdih lir ectc prit`btdihdh tn` @P pjcb`s dhedvdeucjrdant ti prdvcby cgiv` tn` us`il subn ectc lir tn` jcra`rg`h`t il sibd`ty, tn`r`gyr`strdbtdha n`cjtnbcr` privde`rslrim sncrdha subn ectc7?. Undsjibcjds`s mN`cjtn e`pjiym`htsche jdmdts tn`dr `ll`btdv`h`ss dhchcjysdha pctd`ht ectc.

    @bihimdb; Un`s` gcrrd`rs r`strdbttn` ceiptdih che sbcjcgdjdty il

    mN`cjtn sijutdihs gy `dtn`r jdmdtdhatn`dr cllirecgdjdty ir mcfdha tn`drus` bimm`rbdcjjy uhvdcgj` lirn`cjtnbcr` privde`rs che pctd`hts.

    - H``e lir lurtn`r `vde`hb`;N`cjtnbcr` privde`rs chepijdby mcf`rs r`qudr`lurtn`r `vde`hb` il bjdhdbcjche `bihimdb g`h`ts tnctmN`cjtn bch privde` tidhbr`cs` dts ceiptdih.

    - Bihdbtdha hchbdcjdhb`htdv`s lir n`cjtnbcr`

    privde`rs;Cbriss c l`wn`cjtnbcr` syst`ms dh tn`@P, n`cjtnbcr` privde`rs cr`cjjibct`e guea`ts cbbiredha titn` humg`r il pctd`hts tr`ct`e

    W`aujctdih ds jcaadha g`ndheceiptdih.

    Ce`sdhc Djjuy`md,

    Phdv`rsdty il _irtsmiutn

    Jcbf il pcym`ht m`bnchdsmsds c mckir jdmdtctdih.U`bnhijiad`s pcde lir cr`

    ceipt`e qudbfjy.Er. Chh`tt` Fri`ttdha`r, A`rmch

    Liuhectdih lir tn` Bnrihdbcjjy djj

    mN`cjtn wdjj a`h`rct` ectc guthi bimmih lrcm`wirf ti nisttnct ectc burr`htjy xdsts. Cbimmih lrcm`wirf ds h``e`ewdtndh tn` @P r`adih ti `hsur`tnct mN`cjtn bch privde` r`cjg`h`ts.

    Tchhds Hcncj, Ircha`

    Un`r` ds burr`htjy c jcbf ile`bdsdih-mcfdha lrim tn`

    aiv`rhm`ht dh tn` lirm ile`jcy dh prib`eur`s, cgs`hb`il birr`bt `bihimdb dhb`htdv`ti us` subn sijutdihs -- ti f``pn`cjtnbcr` irachdsctdihscttrcbt`e tiwcres subnsijutdihs.

    Rt`lchi Wisbdhd, U`j`bim Dtcjdc

    Bncha`s cr` hit bimdha lrimwdtndh cs `xdstdha nispdtcjscr` aiv`rh`e gy ch bihimdbmie`j wndbn wirfs ihceedha r`siurb`s. Unds ds hitsustcdhcgj`.

    Kinh Arumdtt, \db` _r`sde`ht,Edcg`t`s PF

    Rubb`ssluj gusdh`ss mie`jsbiuje bihsdst il a`ttdha ectclrim bjiue-gcs`e s`rvdb`sche bijjcgirctdha wdtn itn`r

    stcf`nije`rs si tnct tn` ectcbiuje g` chcjys`e che us`e.

    Nirst M`rfj`, Wibn` Edcahistdbs

    7? Un`@urip`chectcprit`btdihj`adsjctdihchedtsbihs`qu`hb slirpugjdbn`cjtnmihdtirdha;cpj`clircbtdih(nttp;//`urpug.ixlirekiurhcjs.ira/biht`ht/3>/

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    Bijjcgirctdih cbriss tn` `bisyst`m

    N`cjtnbcr` che t`j`bims pijdby mcf`rsche r`aujctirs h``e ti wirf wdtnitn`r stcf`nije`rs dh tn` mN`cjtn`bisyst`m ti e`sdah lcbdjdtctdv` pijdbd`stnct str`cmjdh` tn` e`v`jipm`ht ilmN`cjtn sijutdihs che suppirt tn`drbimm`rbdcjdsctdih gy privdedha sijde`bihimdb r`csihs tnct hbiurca`ceiptdih;

    Dht`arct` mN`cjtn wdtndh hctdihcjn`cjtnbcr` strct`ad`s che pijdbydhdtdctdv`s.

    Cjdah tn` e`v`jipm`ht il mN`cjtnsijutdihs wdtn tn` dmm`edct`n`cjtnbcr` prdirdtd`s il `cbnm`mg`r stct`.

    N`jp br`ct` pijdbd`s tnct hbiurca`bimp`tdtdih g`tw``h r`adihcjn`cjtnbcr` privde`rs, mcfdhatn` n`cjtnbcr` syst`ms mir`p`rlirmchb` ird`ht`e che j`ss

    nispdtcj-b`htrdb.

    Bihtdhu` gudjedha tn` `vde`hb` gcs`il mN`cjtn g`h`ts wdtn r`j`vchtdheustry cssibdctdihs che sijutdihprivde`rs.

    J`v`rca bjiue-gcs`e sijutdihs ticaar`act` tn` stctdstdbs lrim cbtdv`mN`cjtn e`pjiym`hts ti m`csur`che e`mihstrct` tn` dmpcbt iltn`s` sijutdihs ih bjdhdbcj iutbim`sche bcr` bists.

    Grdea` r`aujctiry acps

    Un` lcbdjdtctdv` pijdbd`s h``e ti g`suppirt`e gy c sijde r`aujctirylrcm`wirf tnct ce`quct`jy ceer`ss`stn` f`y bihb`rhs il vcrdius stcf`nije`rscriuhe scl`ty che trust. Un` lijjiwdhacbtdihs bch hit ihjy n`jp ceer`ss tn`r`aujctiry gcrrd`rs ce`quct`jy gut cjsitn` t`bnhijiadbcj gcrrd`rs, sdhb` tn`s`cbtdihs wdjj lcbdjdtct` tn` e`v`jipm`ht ilstchecreds`e che dht`rip`rcgj` mN`cjtnsijutdihs;

    Wcds` bjcrdty ih @P m`edbcj e`vdb`r`aujctdih gcs`e ih c pripirtdihct`rdsf-gcs`e cppricbn tnct hsur`sscl`ty che qucjdty wndj` stdmujctdhadhhivctdih che pctd`ht cbb`ss.

    Bjcrdly ectc prit`btdih j`adsjctdih csdt cppjd`s ti mN`cjtn, `hsurdha `he-us`r trust che `cs` il us`.

    Dhtrieub` r`aujctdihs tnct ceer`sstn` acps dh A`h`rcj Ectc _rit`btdih

    W`aujctdih (A_EW) che mchect`edll`r`ht n`cjtnbcr` privde`rs tisncr` pctd`ht ectc, lcbdjdtctdhaiptdmdsctdih il r`l`r`hb`s cbrissedll`r`ht j`v`js il bcr` che tn`r`adihcj n`cjtnbcr` privde`rs.

    _rimit` t`bnhijiay che ectcstchecres ti hsur` e`v`jipm`htil dht`rip`rcgj` che stchecreds`esijutdihs.

    Br`ct` `bihimdb dhb`htdv`s

    Dh ire`r ti iv`rbim` tn` gcrrd`rsbr`ct`e gy bihdbtdha dhb`htdv`s tnctn`cjtnbcr` privde`rs cr` privde`e wdtn,tn` pijdby mcf`rs, r`aujctirs che pcy`rsh``e ti wirf tia`tn`r ti;

    Br`ct` dhb`htdv`s tnct r`wcren`cjtnbcr` privde`rs lir acdhscbnd`v`e lrim tn` `lbd`ht

    utdjdsctdih il r`siurb`s hcgj`egy mN`cjtn sijutdihs cbrisspipujctdihs.

    E`v`jip dhhivctdv` che sustcdhcgj`r`dmgurs`m`ht ir luhedham`bnchdsms tnct biv`r tn` bistil usdha mN`cjtn sijutdihs checssibdct`e e`vdb`s, tn`r`gy-`hcgjdha qucj cbb`ss.

    Ruppirt tn` us` il mN`cjtn

    Qndj` tn` f`y gcrrd`rs mcy g` ceer`ss`eedr`btjy ir dhedr`btjy gy x`butdha tn`

    st`ps m`htdih`e cgiv`, pijdby mcf`rs,r`aujctirs che pcy`rs h``e ti hsur`tnct tn` e`v`jipm`ht che e`pjiym`htil sijutdihs cr` iptdmdz`e che tnctn`cjtnbcr` privde`rs ncv` ce`quct`suppirt dh j`v`rcadha mN`cjtn sijutdihsg`tt`r. Ui cbnd`v` tnds, tn`y mdant;

    @haca` pctd`hts che n`cjtnbcr`pril`ssdihcjs crjd`r eurdha sijutdihe`sdah ti bihtdhu` r`h`m`hts il`xcbt h``es lir mN`cjtn sijutdihsche jiw`r bncha` mchca`m`htr`qudr`m`hts.

    Qirf tia tn`r wdtn m`edbcjuhdv`rsdtd`s, n`cjtnbcr`pril`ssdihcjs, pctd`ht irachdsctdihs,che r`j`vcht sibdcj m`edc bnchh`jsti eubct` tn` n`cjtnbcr` privde`rsche pctd`hts ih tn` us` il mN`cjtnsijutdihs che tn`dr g`h`ts.

    De`htdly m`edbcj uhdv`rsdtd`s chenispdtcjs ir pdih``rs dh mN`cjtnsdmpj`m`htctdih ti iptdmds` bncha`mchca`m`ht che s`t up trcdhdhaprib`ss`s tnct wde`r n`cjtnbcr`e`jdv`ry syst`ms bch lijjiw.

    De`htdly m`edbcj uhdv`rsdtd`s chenispdtcjs cs pdih``rs dh mN`cjtndmpj`m`htctdih dh ire`r ti iptdmds`bncha` mchca`m`ht che s`t uptrcdhdha prib`ss`s tnct tn` wde`rn`cjtnbcr` e`jdv`ry syst`ms bchlijjiw.

    B`htrcjds` tn` pribur`m`ht ilmN`cjtn sijutdihs ti `hsur` tnctbimpjdchb` wdtn stcgjdsn`et`bnhijiay che ectc stchecres dscttcdh`e.

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    Erdvdha bijjcgirctdih

    Qndj` tn` vcrdius dhdtdctdv`s jdst`ecgiv` biuje erdv` ceiptdih che mcf`dhv`stm`hts dh mN`cjtn mir` lbd`ht,sdahdbcht bijjcgirctdih cmihastcf`nije`rs ds r`qudr`e ti hsur` tncttn`s` st`ps cr` x`but`e lbd`htjy chebidhbde` wdtn `cbn itn`r cs r`qudr`e.Bj`crjy, pijdby mcf`rs, r`aujctirsche pcy`rs cr` g`st pjcb`e ti bctcjys`tn` cbtdihs che dhvijv`m`ht il tn`stcf`nije`rs. N`hb`, tn`y h``e ti j`cetn` dhdtdctdv`s che erdv` ura`hby ilcbtdih.

    C jcbf il cbtdih che biiredhctdih dhtn` lirm il pijdbd`s, lrcm`wirfs chesuppirtdha dhdtdctdv`s bch `dtn`r j`cv`tn` g`h`ts il mN`cjtn uhe`rutdjds`eir pusn`e iut tii lcr dh tdm` ti n`jp tn`n`cjtnbcr` syst`ms ti grdea` tn` acpstnct tn`y cr` ct rdsf il e`v`jipdha.

    W`aujctirs bch `hsur` tnct tn`r` ds pugjdbcbb`ss ti ectc criuhe qucjdty che bist ilbcr` si tnct pctd`hts bch mcf` e`bdsdihcgiut tn`dr bcr`. Un`y sniuje dhbr`cs` tn`libus ih subb`ss che put dh pjcb` c lcdjur`r`adm`. Cjiha wdtn tnct, tn`y h``e tibr`ct` ectc stchecres si tnct dhlirmctdihbch iw.

    Kinh Arumdtt\db` _r`sde`ht, Edcg`t`s PF

    Rubb`ssluj gusdh`ss mie`js biujebihsdst il a`ttdha ectc lrim bjiuegcs`e s`rvdb`s che bijjcgirctdha sitnct tn` ectc biuje g` chcjys`e cheus`e.

    Nirst M`rfj`, Wibn` Edcahistdbs

    Aiv`rhchb` il migdj` n`cjtn ds ih`cr`c wn`r` aiv`rhm`ht h``es ti wirfche dhv`st.

    _ril E`vcfc L`rhchei, Edcg`t`s `xp`rt

    Rn`l`je Ncjjcm Phdv`rsdty

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    25/28Ribdi-`bihimdb dmpcbt il mN`cjtn 70

    C.3 Cssumptdihs

    Cr`cs i cssumptdih Cssumptdihs

    N`cjtn bihedtdihs Bnrihdb bihedtdihs; U7EM, B\E che BI_E cr tn` bihedtdihs bihsde`r e ir css ssm`ht.

    Jd`styj` bihedtdihs; Ig`sdty, smifdha che nyp`rt`hsdih ncv` g``h chcjys`e cs tn`s` j`ce ti bnrihdb bihedtdihs.

    Ca`dha pipujctdih; Unds ncs cjsi g` h chcjys`e cs c sdahdbcht pripirtdih i tn` @P pipujctdih ds cgiv`

  • 7/22/2019 Socio-economic impact of mHealth An assessment report for the European Union

    26/28_wB7 biuhtrd`s

    wdtn mir` tnch 3>?,??? p ipj` wni cr` bimmdtt e ti e`jdv`rdha qucjdty dh cssurchb`, tcx che cevdsiry s`rvdb`s.

    _wB Dhedc r`l`rs ti tn` h`twirf il _wB rms dh Dhedc, ncvdha ilb`s dh; Cnm`ecgce, Gchacjir`, Bn`hhcd, E`jnd HBW,

    Nye`rcgce, Fijfctc, Mumgcd che _uh`. Lir mir` dhlirmctdih cgiut _wB Dhedcs s`rvdb` ill`rdhas, pj`cs` vdsdt www.pwb.dh.

    *_wB r`l`rs ti _wB Dhedc che mcy sim`tdm`s r`l`r ti tn` _wB h`twirf. @cbn m`mg`r rm ds c s`pcrct` j`acj `htdty. _j`cs`

    s`` www.pwb.bim/strubtur` lir lurtn`r e`tcdjs.

    Tiu bch bihh`bt wdtn us ih;

    lcb`giif.bim/_wBDhedc

    twdtt`r.bim/_wBYDH

    jdhf`edh.bim/bimpchy/pwb-dhedc

    yiutug`.bim/pwb

    BihtcbtsRncsnchf Urdpctnd

    Dhedc J`ce`r - Rtrct`ay che W`s`crbn_nih`;+43 4>344??

    @mcdj; sncsnchf.trdpctndOdh.pwb.bim

    Mincmmce Bniwenury

    Dhedc J`ce`r - U`j`bim

    _nih`;+43 43

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    pwb.dhUnds pugjdbctdih ei`s hit bihstdtut` pril`ssdihcj cevdb`. Un` dhlirmctdih dh tnds pugjdbctdih ncs g``h igtcdh`e ir e`rdv`e lrim siurb`s g`jd v`e gy _rdb`wct`rnius`Biip`rs_rdvct` Jdmdt`e (_wB_J) ti g` r`jdcgj gut _wB_J ei`s hit r`pr`s`ht tnct tnds dhlirmctdih ds cbburct` ir bimpj t`. Chy ipdhdihs ir `stdmct`s bihtcdh`e dh tnds pugjdbctdihr`pr`s`ht tn` kueam`ht il _wB_J ct tnds tdm` che cr` sugk bt ti bncha` wdtniut hitdb`. W`ce`rs il tnds pugjdbctdih cr` cevds`e ti s``f tn`dr iwh pril`ssdihcj cevdb` g`lir`tcfdha chy biurs` il cbtdih ir e`bdsdih, lir wndbn tn`y cr` `htdr`jy r`spihsdgj , gcs`e ih tn` biht`hts il tnds pugjdbctdih. _wB_J h`dtn`r cbb`pts ir cssum`s chy r`spihsdgdjdty irjdcgdjdty ti chy r`ce`r il tnds pugjdbctdih dh r`sp`bt il tn` dhlirmctdih bihtcdh`e wdtndh dt ir lir chy e`bdsdihs r`ce`rs mcy tcf` ir e`bde` hit ti ir lcdj ti tcf`.